Individual provider Active NPI

Margaret Stupakewicz, D.C.

  • Chiropractor
  • O Fallon, MO
National Provider Identifier
1144738022
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2017031980 Issued in MO
Practice address
199 Frontier Park Dr
O Fallon, MO 63366-3963
Phone
(636) 778-3840
NPI assigned
Jan 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2017031980 MO Primary

Addresses

Primary practice location

199 Frontier Park Dr
O Fallon, MO 63366-3963

Mailing address

523 Pinehurst Glen CT
O Fallon, MO 63366-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021000564 MO Practitioner - Chiropractic 5698163848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1082 Crosswinds CT
Wentzville, MO 63385-4836
Phone (636) 778-3840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017031980MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Love Yourself Chiropractic, LLC Chiropractor CurrentSince Oct 8, 2021 Accepting new patients

Locations

1082 Crosswinds Ct
Wentzville, MO 63385
Phone (314) 944-3646

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1144738022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 PINEHURST GLEN CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633665954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 FRONTIER PARK DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663963",
            "telephone_number": "636-778-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPAKEWICZ",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017031980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.